摘要
目的研究哮喘持续状态患儿中塑型性支气管炎的发病特点,探讨其诊断和治疗方法。方法从2008年1月至2011年5月收治4例哮喘持续状态合并塑型性支气管炎的患儿,回顾性分析其发病病因、临床特点、病原学、治疗过程及治疗效果。结果 4例患儿中行急诊纤维支气管镜检查3例,所有取出异物行病理检查,诊断为塑型性支气管炎,这4例患儿经气管插管、呼吸支持、纤维支气管镜灌洗、呼吸道管理及抗感染治疗,均痊愈出院。结论确诊塑型性支气管炎需依靠支气管镜检查和病理组织学检查。哮喘持续状态患儿要高度警觉塑型性支气管炎的发生。
Objective To investigate the clinical characteristics, diagnosis and therapeutic approaches of plastic bronchitis in children with status asthmaticus. Methods The clinical profiles of 4 children with plastic bronchitis and plastic bronchitis admitted to Capital Institute of Pediatrics from Jan 2008 to May 2011 were retrospectively ana- lyzed. Results Of 4 patients with plastic bronchitis, three received bronchoseope inspection, and all of them were confirmed plastic bronchitis by histopathology, and cured after mechanical ventilation, airway management and antiinfection treatment. Conclusion Plastic bronchitis diagnosis depends on bronchial endoscopy and histopathology. The occurrence of plastic bronchitis in patients with status asthmaticus should be alerted.
出处
《中国医刊》
CAS
2012年第6期42-46,共5页
Chinese Journal of Medicine
关键词
哮喘持续状态
塑型性支气管炎
纤维支气管镜
status asthmaticus
plastic bronchitis
bronchial endoscopy
mechanical ventilation
